Active NPI
Optima Vitae, LLC
- Home Health Agency
- Bryan, TX
National Provider Identifier
1245804525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPTIMA VITAE, LLC
- Practice address
- 307 S Main St Ste 201
Bryan, TX 77803-6950 - Phone
- (210) 305-9057
- NPI assigned
- May 19, 2021
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lewis, MA, CCC-SLP
- Title
- Owner/President
- Phone
- (979) 431-4848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
307 S Main St Ste 201
Bryan, TX 77803-6950
Mailing address
307 S Main St Ste 201
Bryan, TX 77803-6950
Phone (979) 431-4848
National Provider Directory
National Provider DirectoryLocations
307 S Main St
Ste 201
Bryan, TX 77803
Phone (210) 305-9057
3201 University Dr E
Ste 160
Bryan, TX 77802
Phone (979) 704-5409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1245804525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S MAIN ST STE 201",
"city": "BRYAN",
"state": "TX",
"postal_code": "778036950",
"telephone_number": "979-431-4848",
"fax_number": "979-431-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S MAIN ST STE 201",
"city": "BRYAN",
"state": "TX",
"postal_code": "778036950",
"telephone_number": "210-305-9057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA VITAE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "979-431-4848",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.